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Test Engineer - Data Analytics
HCSC - Richardson, TX
As the health care industry continues to rapidly transform, our IT team conceives, develops and delivers impactful technology solutions to support access to quality, affordable health care for our members. We are driven by our collective company purpose: To do everything in our power to stand with our members in sickness and in health®. Our IT team unleashes the power of this p...
Sr Systems Analyst
HCSC - Richardson, TX
Job Purpose: This position is responsible for designing enhancements and new business applications and/or information systems solutions through integration of technical and business requirements; serving as technical designer to identify best solution and resulting technical specifications within limits of code environment; linking Business Analyst needs an...
Sr Analytics & Reporting Analyst - Medicare Stars
HCSC - Richardson, TX
BASIC FUNCTION: This position is responsible for creating reports, insights and analytics in support of the division; creating specifications for reports and analysis based on business needs; possibly providing consultation to users and working on cross-functional teams to address the divisions issues; producing datasets and reports for analysis using system...
Sr Claim Technician
HCSC - Quincy, IL
Job Purpose:Under supervision, this position is responsible for directing, organizing and controlling technical workflow and support in the department.Required Job Qualifications: * *High School diploma or GED. * *1 year of claims/membership experience. * *Knowledge of Blue Chip or Blue Star. * *Analytical Skills. * *Clear and concise verbal and wr...
Holistic Health Specialist - Registered Nurse (RN)
HCSC - Richardson, TX
------------------------------------------------------------ At HCSC, building a talent engine for the future is a key priority because we recognize that as our business evolves to reflect the changing world, we must adapt our workforce to meet this challenge. Additionally, with "excellence" as one of our core values, we are focu...
Developer - RPA/Intelligent Automation
HCSC - Chicago, IL
As the healthcare industry continues to rapidly transform, our IT team conceives, develops and delivers impactful technology solutions to support access to quality, affordable healthcare for our members. We are driven by our collective company purpose: To do everything in our power to stand with our members in sickness and in health®. Our IT team unleashes the power...
Utilization Management Coordinator - Registered Nurse (RN)
HCSC - Richardson, TX
BASIC FUNCTION: This position is responsible performing initial, concurrent review activities; discharge care coordination for determining efficiency, effectiveness and quality of medical/surgical services and serving as liaison between providers and Medical and Network Management Divisions. This position reviews service requests, collects clinical and n...
Primary Nurse Care Administrator Specialty / CDE (Certified Diabetes Educator)
HCSC - Richardson, TX
Job Purpose: This position's primary focus is the management of members with Specialty (Oncology / Diabetes ) diagnoses. This position will be responsible for performing all functions of Case Management (CM) and is a primary source of contact for members, health care personnel and all other entities involved in managing Specialty care. Th...
Sr Systems Analyst
HCSC - Richardson, TX
Job Purpose : This position is responsible for designing enhancements and new business applications and/or information systems solutions through integration of technical and business requirements; serving as technical designer to identify best solutions and resulting technical specifications within limits of code environment; linking Business Analyst needs a...
Sr Developer - Big Data
HCSC - Richardson, TX
Job Purpose : This position is responsible for developing, integrating, testing, and maintaining existing and new applications; knowing one or more programming languages; knowing one or more development methodologies / delivery models. Required Job Qualifications: Bachelor Degree and 4 years Information Technology exper...
Customer Advocate I
HCSC - Rockford, IL
BASIC FUNCTION: Under supervision, this position is responsible for working on the phone all day in a call center to assist members and physicians by responding to telephone and written inquiries in a prompt, accurate and objective manner. Duties include: conducting research; spends approximately 90 of the scheduled time on the phone according to business need. JOB RE...
Credentialing Representative
HCSC - Richardson, TX
**If chosen to proceed, each candidate will be required to complete a video interview via HireVue** BASIC FUNCTION: Under supervision, this position responsible for review and completion of primary source verification data in an accurate and timely fashion for credentialing and recredentialing of practitioners for multi states. Conducting research in ord...
Correspondent Advocate
HCSC - Mattoon, IL
*NEWLY RENOVATED AND EXPANDED OFFICE IN MATTOON- MULTIPLE OPENINGS AVAILABLE!* BASIC FUNCTION:Under supervision, this position is responsible for conducting research and providing responses to a variety of written and web based inquiries from beneficiaries, providers, blues plans and etc. JOB REQUIREMENTS: *High schoo...
Claims Delegation Oversight Coordinator
HCSC - Richardson, TX
Job Purpose The Claims Delegation Coordinator is responsible for leading, coordinating and participating in claims delegation oversight audits of HCSC's vendors, service providers, medical groups and/or delegated subcontracted providers reviewing adherence to regulatory and contractual requirements. The position also develops audit tools and...
Business Consultant
HCSC - Chicago, IL
Job Purpose: This position is responsible for strategic development of HCSC's discount position within HCSC's 5 markets and communication of national discount strategies across the enterprise. This position builds and maintains proactive collaboration and interaction with key internal stakeholders and external entities such as the Consortium Health Pla...
